Online Document Request Form
Please complete this form to order your document package.
You must fax or email the vendor invoice with serial numbers and complete equipment description, including make model, year and total cost!
If you have any questions, please contact Andrea, Cheryl or Deb at 866-774-5050.
General Information
Broker Name
Application No.
Lessee Name
Lease Start Date
Equipment Delivery Date
Lessor Broker is Lessor Enterprise is Lessor
Equipment Location (if different than mailing address)
Address
City State Zip
Transaction Type
Equipment Finance Agreement (EFA) Only check if EFA Documents
Lease Agreement Only check if Lease Documents Residual Type $1.00 10% FMV Other
PLEASE ANSWER EACH QUESTION!
Is the Equipment Titled? No Yes If yes, who is handling the titling? Vendor EF Title Service-out of state vendor EF Title Service-Private Party Sale
Is this a Prefund? (Must be approved in credit) No Yes Amount of Prefund $
If a lease, was there a down payment made to the vendor? No Yes
Private Party Sale? (Any seller other than a vendor or dealer) No Yes If yes, Is this approved in credit?
Are all Credit Stipulations Cleared? (Refer to Approval) No Yes
Payment Information
Lease Term 24 36 48 60
Base Payment $
Sales Tax Type Up Front On Stream Exempt Tax Not applicable (EFA documentation only)
Tax Rate: % Enter "EX" if exempt. Contact our Funding Dept. for Tax Rate!
Tax Amt. in Payment $ (If tax is on the stream)
Total Payment $ (Base payment + tax)
Due at Inception
Advance Payments Number Amount $
Fees charged to customer (if not charged to customer, the fees will be deducted from the Broker commission).
Document Fee $250.00 (Fast Forward Members $195.00) $ Site Inspection Fee: If > $50,000 & Enterprise orders the site = $250.00 $ Titling Fee If Enterprise is doing titling. Fee = $195.00 per title. $ Other: $
Total Fees Collected Upfront (paid by customer) $
Security Deposit (If applicable) $
Total First Check Add all amounts collected at close. $
Commission Calculation Click Here to Go to Commission Calculator
Equipment Cost $
Fees to Deduct from Commission:
Document Fee $250.00 (Fast Forward Members $195.00) $ Site Inspection Fee If > $50,000 & Enterprise orders the site = $250.00 $ Titling Fee If Enterprise is doing titling. Fee = $195.00 per title. $ Other: $
Total Fees Deducted from Commission Enter "0" if none $
Gross Broker Commission $ Less: Fees Deducted: Enter "0" if none $ Less: Advance Payments collected by Broker (if applicable. Enter "0" if none) $
Net Broker Commission Due to Broker Enter "0" if none $
Document Delivery Instructions
Please send documents to:
Email Address: Attention:
OR
Overnight Delivery to: (Include Company, Contact Person, Phone, Address, City, State, Zip)
Broker Comments:
When all information is complete, click submit below. Don't forget to submit the vendor invoice!